Use of the Adult Attachment Interview to measure process and change in psychotherapy

Steele, Howard; Steele, Miriam; Murphy, Anne

doi:10.1080/10503300802609698

Cited by 66 publications

(52 citation statements)

References 44 publications

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“…Ainsworth et al 1978;Bowlby 1988;Main et al 1985;Main et al 2008;Steele et al 2009), to be relied upon as a source of help in achieving and maintaining effective results with families at risk. Therapeutic processes may be supported, therapeutic actions may be identified, and measurements of outcome may be facilitated.…”

Section: Discussionmentioning

confidence: 96%

Identifying Therapeutic Action in an Attachment-Centered Intervention with High Risk Families

2010

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This paper describes an attachment-based intervention for mothers known to Child Welfare Services where past and current trauma complicates family preservation and promotion of child well being. The first part of the paper describes the innovative Attachment-Centered Parent-Child Therapy service that has been delivered to high-risk families with children from 0 to 3 years of age. The intervention uses a group format that has the added benefits of enhancing social support and being highly cost effective. The intervention also integrates video filming both in terms of capturing essential features of the group intervention for review and supervision of clinical staff, and is fundamental in the observation-based empirical assessments. Quantitative data from an initial pilot study supporting the efficacy of the intervention is presented. As well, qualitative data is presented including a case study that highlights therapeutic action shown to positively impact the quality of the mother-child relationship.

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Section: Discussionmentioning

confidence: 96%

Identifying Therapeutic Action in an Attachment-Centered Intervention with High Risk Families

2010

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“…Although the instruments we used are evaluated as high-quality, studies have suggested that the results of self-report measures and expert ratings may differ [59, 60]. Future research should consider this fact and verify our results by using interview measures, such as the Adult Attachment Interview [61], and expert ratings, such as the Reflective Functioning Scale [25]. …”

Section: Discussionmentioning

confidence: 99%

Mentalization as Mediator between Adult Attachment and Interpersonal Distress

Hayden

Müllauer

Gaugeler³

et al. 2019

Psychopathology

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Background: The aim of this study was to investigate the mediating role of mentalization in the association between adult attachment and interpersonal problems. Methods: The sample consisted of 89 patients with different types of mental disorders who were at the beginning of treatment in one of two medical centers. Both mediational analysis and path analysis were used to test the model. Results: The proposed model revealed a good model fit. The data indicate that mentalization fully mediates the effect of attachment on interpersonal distress. Symptom severity proved to be a strong confounding variable that influenced all other variables and reduced existing effects. Conclusion: We conclude that both mentalization and symptom distress are key components in the association of adult attachment and interpersonal problems. Therefore, we recommend research on integrative psychotherapy concepts rather than unilateral approaches.

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“…Several clinical investigators have written about the usefulness of assessing attachment, in particular using the Adult Attachment Interview (AAI) to evaluate psychotherapy progress and outcome [69][70][71]. Although an increasing number of studies have examined attachment and related constructs in BPD, there have been relatively few psychotherapeutic studies of attachment in BPD.…”

Section: Psychotherapy and Intervention Sciencementioning

confidence: 99%

Attachment and its Vicissitudes in Borderline Personality Disorder

Levy

Beeney

Temes

2010

Curr Psychiatry Rep

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This article reviews the recent literature on attachment and attachment-related constructs in borderline personality disorder, with attention given to how recent findings in this area may inform understanding of the mechanisms underlying the etiology, maintenance, and treatment of the disorder. Most findings on this topic have stemmed from three major areas of research, each of which is reviewed in this article: 1) developmental psychopathology studies; 2) experimental psychopathology studies, particularly those using a neuroscience approach; and 3) treatment studies that have examined variables relevant to attachment. Overall, these findings suggest that attachment and related constructs may factor greatly into the underlying psychopathology of borderline personality disorder and may significantly impact the process and outcome of psychotherapy for the disorder. These findings are discussed as they relate to existing theories and ongoing debates in the field, and the implications for future research and clinical practice are highlighted.

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Use of the Adult Attachment Interview to measure process and change in psychotherapy

Cited by 66 publications

References 44 publications

Identifying Therapeutic Action in an Attachment-Centered Intervention with High Risk Families

Identifying Therapeutic Action in an Attachment-Centered Intervention with High Risk Families

Mentalization as Mediator between Adult Attachment and Interpersonal Distress

Attachment and its Vicissitudes in Borderline Personality Disorder

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